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HYATT
REGENCY LEXINGTON
Room Reservation Form
2003
International Ash Utilization Symposium
October 20-22, 2003
FAX (859-233-7974) or PHONE (859-253-1234;
800-233-1234) or MAIL (401
W. High St., Lexington, KY 40507, USA)
Special rates for this Symposium: US$119.00+tax
single, US$129.00+tax double
At the present time, the hotel tax rate in Lexington is 12.4%.
If this form prints on two pages on your printer, please make sure
you fax/mail both pages.
Please complete the following:
Dates of reservation # rooms needed Disability-related needs, if any:
Arrival: ________________ Single rm:____ ____________________________________
Departure: ______________ Double rm:____ Name of additional person:________________________
Upgrade to Business Plan (additional US$20.00/night): ____________________________
| Name:___________________________________________________________________________________ |
| Organization:______________________________________________________________________________
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| Street Address:____________________________________________________________________________
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| State or Province:__________________________________________________________________________ |
| Postal Code:_______________________________________________________________________________ |
| Country:__________________________________________________________________________________
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| Home Telephone:___________________________________________________________________________ |
| Work Telephone:___________________________________________________________________________ |
I understand that I am responsible for one night's
room and tax which will be deducted
from my deposit or billed through my credit card in the event I
do not arrive or cancel
within 24 hours of the arrival date indicated. |
| Signature_________________________________________________________________________________
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Reservation Guarantee
Check one:
_______Check enclosed
_______Credit card (Amex, DC/CB, Visa, MasterCard, Discover, JCB)
Credit Card Number_______________________Exp_____________
Gold Passport G __________________________________
Check in time is 3:00 p.m.; Check out time is 12:00 noon
Please do not mail this form if you have already made your reservations.
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